Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,370.34 / $1,370.34 / $1,370.34	Facility		$1,370.34	$1,370.34	$1,370.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,234.43 / $1,370.34 / $4,189.68	Professional		$1,234.43	$1,370.34	$4,189.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,165.91 / $3,236.38 / $4,045.48	Professional		$3,165.91	$3,236.38	$4,045.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,765.23 / $2,104.69 / $3,905.03	Facility		$1,765.23	$2,104.69	$3,905.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,736.90 / $2,894.84 / $10,796.64	Professional		$1,736.90	$2,894.84	$10,796.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,271.40 / $3,587.43 / $4,431.02	Facility		$2,271.40	$3,587.43	$4,431.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,441.00 / $3,165.91 / $3,841.97	Professional		$2,441.00	$3,165.91	$3,841.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,822.00 / $2,427.56 / $2,814.02	Professional		$1,822.00	$2,427.56	$2,814.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,592.16 / $2,607.61 / $4,056.28	Professional		$1,592.16	$2,607.61	$4,056.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,791.60 / $3,284.30 / $3,415.60	Professional		$2,791.60	$3,284.30	$3,415.60